name: title class: title-slide, left, middle background-image: url("data:image/png;base64,#images/daftpunktocat-thomas.gif") background-position: right background-size: contain background-color: #7899d4ff .pull-left[ # A.D.H.D. ## Neuropsychological assessment for diagnostic clarification and treatment planning ### Joey Trampush, Ph.D. ### Della Martin Assistant Professor of Psychiatry ### 2021-12-21 ] --- class: middle, center ### .big-text[Hello.] ??? Our department has grown since 2018 --- class: middle, center .bg-washed-green.b--dark-green.ba.bw2.br3.shadow-5.ph4.mt5[ If you cannot explain something in simple terms, you don't understand it. .tr[ — Richard Feynman ]] .center[] --- class: middle <!-- type: exclaim --> [
@brainworkup](https://github.com/brainworkup) [
@brainworkup](https://twitter.com/brainworkup) [
brainworkup.io](https://brainworkup.io) What do I know about .big[ADHD] .right[] .footnote[.red.bold[*] Important footnote] ??? 80HD --- class: middle, left ## Data Science .left[  ] --- class: center middle .big[1.] ## inattention --- class: center middle .big[2.] ## hyperactivity --- class: center middle .big[3.] ## impulsivity --- class: center middle .big[4.] ## working memory --- class: center middle .big[5.] ## stimulus boundness --- class: section, middle .left[Left hand side content] .center[Middle content] .right[Right hand side content] --- --- class: split-two with-border .column.bg-main1[ .split-five[ .row.bg-main1[.content[ Row 1, Column 1 content. ]] .row.bg-main2[.content[ Row 2, Column 1 content. ]] .row.bg-main3[.content[ Row 3, Column 1 content. ]] .row.bg-main4[.content[ Row 4, Column 1 content. ]] .row.bg-main5[.content[ Row 5, Column 1 content. ]] ]] .column[.content[ Second column content. ]] --- class: section middle center #### .big[Clinical ADHD vs Cognitive ADHD] .pull-left[ ### inattention ### hyperactivity ### impulsivity ] .pull-right[ ### working memory ### response variability ### stimulus boundness ] --- class: inverse, middle ### Neurocognitive deficits related to adhd .panelset[ .panel[.panel-name[Working Memory] #### Working Memory - Remembering things short term memory - Verbal information - Nonverbal information - "mind's eye" ] .panel[.panel-name[Processing Speed] #### Processing Speed - Rate of test taking - Rate of speed of information processing - Some other description - Fourth layer ] .panel[.panel-name[Response Variability] #### Response Variability - Reaction time variability - Response consistency - Attentional drift - Impulsive responding ] .panel[.panel-name[Inhibitory Control] #### Inhibitory Control - Go/No-Go performance - Core DSM symptom (impulsivity) - Something else ... - Impulsive responding ] ] --- name: bell class: left, middle, fullscale background-image: url(data:image/png;base64,#https://gifs.joelglovier.com/crying/laughing-crying.gif) background-position: 50% 50% background-size: 100% #### Emotional Control .pull-left[ > **Emotion** 🔥 > > **(Dys)Regulation** > > in **ADHD** > > Not part of DSM/ICD diagnostic criteria > > .big[BUT] ... > ] ??? This is recognized on most rating scales e.g., brown --- class: middle, center .frame[ ### Read these words as fast as you can ] --- class: middle, center .frame[ ### RED ] .frame[ ### GREEN ] .frame[ ### BLUE ] .frame[ ### YELLOW ] ??? This is how we test it --- class: middle, center .frame[ ### .red[RED] ] .frame[ ### .green[GREEN] ] .frame[ ### .blue[BLUE] ] .frame[ ### .yellow[YELLOW] ] ??? Also how --- class: middle, center .frame[ ### .purple[RED] ### .orange[GREEN] ### .pink[BLUE] ### .green[YELLOW] ] ??? This is how we test it --- name: agenda class: middle, center ## Agenda The .blue[name] of this slide is {{ name }}. --- <style> table { table-layout: auto; width: 100%; color: black; font-size: 12px; font-family: 'Roboto Condensed', 'Metrophobic', 'Aldrich'; break-inside: avoid; } </style> <style> caption { color: black; font-weight: bold; font-size: 14px; font-family: 'Roboto Condensed', 'Metrophobic', 'Aldrich'; } </style> Schools cannot diagnose ADHD, other health/med --- class: middle center inverse animated slideInRight fadeOutLeft ### Distribution of Scores: _Population-level Interpretation_ <div class="figure"> <img src="data:image/png;base64,#images/plot_narrow.png" alt="Statistical classification of neuropsychological test scores in the general population." width="50%" /> <p class="caption">Statistical classification of neuropsychological test scores in the general population.</p> </div> --- class: middle center inverse animated slideInLeft fadeOutRight ### Distribution of Scores: _Clinical Interpretation_ <div class="figure"> <img src="data:image/png;base64,#images/plot_broad.png" alt="General clinical interpretation of performance for individual test scores and broader neuropsychological domains." width="50%" /> <p class="caption">General clinical interpretation of performance for individual test scores and broader neuropsychological domains.</p> </div> --- class: inverse middle center #### Highcharte`R` Drilldown ###### Z-scores (Mean = 0, SD = 1) <div class="figure">
<p class="caption">Drilldown Neuropsych zScores</p> </div> --- name: snoop class: middle, right background-image: url(data:image/png;base64,#https://gifs.joelglovier.com/favs/snoop-turning-the-wheel-big.gif) background-color: #FFFFFF background-size: auto font-style: bold font-weight: 600 .pull-right[.black[.bold[ "There are three ways to ultimate success: The first way is to be kind. The second way is to be kind. The third way is to be kind." ] ] ] --- 